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�APPL. ��i'QO/ CITY OF EVERETT SERVICE N� -- 6��� j <br />�� N�� � APPUCATION FOR WATER SERVICE ORDER C I <br />• nnrr �—J—__tp�� ' <br />� FI%ED aG �, <br />� DEWlITs ,� ��� No�� — I'� <br />� � SER\'ICE (�YAooec��7—.?��`��+�F't �a/`�' BLK..__LOT—.2.—ADD.�/i`�"'���/�..�I <br />R C•%-Q� f+�la—)i�� — ,. <br />OWNE �— S«_GONTRACTOR <br />INSTALL�?LL— L ERED BERVICF �—_—. _ �� <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WI?H THE <br />ONDINIINCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING I <br />ON AS SAME MAY BE HERGFTER CHANGED. s�cn[u: X- __—______._—_ ___ _ <br />M/1TERIALB Y� IN. 1 IN.' 2 IN. � I PRICE �MOUNT <br />PIPE' COPPER •- GALV. -- S7EEL <br />_�.�'�1�6 b.t � 7 —�--�- -- — <br />GORPORATION 3 y�Q/A y� _ 1_ I i ____ <br />cune r�yK �T 3���`_.r`�-_�__ _� —I � I � — <br />SERVICE BO% PLASTIC -- C I I <br />_—.. ___ _ <br />_ _'_ _ __' <br />METER VALVE <br />__—_— __— . ...____ —___—....__.__-- <br />�L�Cr� �/ ._TYPE: I 1i _L - _ -__— _-_.__ _—. _"_ <br />— __ _— � —_—I.. ____ _--_ _ _-- <br />METER BO%O CONCRET . SMAL_ LARGE � _I <br />�� y�%G_�y7 _ ---�-= '--- - --- - - <br />�w.l�� �.G/ J'-') �'—��—�—I—__— _— __ I' <br />.���0_3 y y ; <br />3s' c� ,-u.��� /�� �� I-- � -i, , <br />� � ON <br />DATE INSTALLED: lO,/'-7_ i�� I � OFF <br />� / / __ <br />CODE I LAOOq ANO EOUIPMENf RENTAL <br />I�—__—. _—_____— <br />I___ __'__ <br />REMARKS: <br />SU6 TOTAL <br />HOURS I RATE <br />